Individual
SHAUNA ROBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 NOSTRAND AVE APT 104, BROOKLYN, NY 11210
(646) 684-8842
Mailing address
2425 NOSTRAND AVE APT 104, BROOKLYN, NY 11210-4021
(646) 684-8422
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
749753
NY
164W00000X
Licensed Practical Nurse
325533
NY
Other
Enumeration date
05/29/2017
Last updated
07/21/2022
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